THE RIVER SOURCE NPI 1336454867

NPI Information

  • NPI: 1336454867
  • Provider Name: THE RIVER SOURCE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 108 E 2ND AVE
    MESA, AZ
    ZIP 85210
  • Phone: (888) 687-7332

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NPI Details

THE RIVER SOURCE is a substance abuse rehabilitation facility in Mesa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. THE RIVER SOURCE NPI is 1336454867. The provider is registered as an organization entity type.

The provider's business location address is:

108 E 2ND AVE
MESA, AZ
ZIP 85210-410
Phone: (888) 687-7332
Fax: (480) 827-1637

The provider's authorized official is Phillip Westbrooks .
The authorized official title is President And Ceo and has the following contact phone number (480) 206-3999.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 1/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityBH-3428ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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